Dawn Hiebert

Medical Claims Supervisor

City of Lawrence

02.1995 - Current

Lead the EMS Billing Division at Lawrence-Douglas County Fire Medical, overseeing a team of two EMS Billing Specialists, and managing a Revenue Cycle Management system for over 9,000 billable transports annually.
Implement and monitor Revenue Cycle Management and Electronic Health Record software systems, ensuring compliance with state and federal regulations, CPT, and ICD-10 coding standards.
Ensure proper documentation, coding, and billing practices of EMS patient care reports and supporting materials to maximize reimbursement while maintaining compliance. Ensure adherence to all federal, state, and local EMS billing regulations, including HIPAA, CMS guidelines, and other industry standards.
Provide training and education on revenue cycle best practices for LDCFM EMS providers, administrative staff, and command staff.
Manage diverse insurance processes, resolve reimbursement issues, and claim disputes by determining the appropriate course of action. Also, oversee customer service functions, and handle the most sensitive and controversial issues.
Establish policies and procedures that enhance efficiency, accuracy, and compliance of EMS billing and collections.
Conduct regular audits and quality reviews to mitigate risks and ensure accurate submission of claims.
Ensure compliance with CMS and Medicaid regulations by maintaining department certifications and credentials.
Actively participate in policy development and regular revision of LDCFM SOPs related to medical claims and protected health information.
Attend continuing education classes to maintain high awareness of industry trends and best practices, as well as upcoming changes to the regulatory environment.
Manage vendor relationships, including third-party billing services, collection agencies, and software providers.
Review assigned staff's work schedules, approve time sheets, and receive and approve/deny leave requests from assigned staff. Provide corrective actions, including performance improvement plans, to work with assigned employees to correct deficiencies.
Work collaboratively with the Department, Douglas County, and the City of Lawrence leadership to align financial goals with operational priorities.